Abstract
The success of the proteasome inhibitor bortezomib for the treatment of multiple myeloma has encouraged its broader use for other hematological malignancies such as lymphomas and acute leukemia. An important feature for the successful implementation of bortezomib in the treatment of acute leukemia would rely on the selection of patients that will benefit. In order to achieve this goal, preclinical studies can help to establish the mechanism(s) of action underlying proteasome inhibition in leukemic cells and recognize possible mechanisms of acquired resistance. This chapter presents an overview about the current knowledge of these mechanisms based on in vitro and ex vivo studies. Moreover, strategies are discussed that have been set up to overcome resistance, e.g., by novel proteasome inhibitors and combinations of bortezomib with other chemotherapeutic drugs. Finally, an update is provided of the ongoing clinical trials investigating the potential benefits of proteasome inhibitors in acute leukemia.
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Abbreviations
- 5AHQ:
-
5-Amino-8-hydroxyquinole
- ABC:
-
ATP-binding cassette
- ALL:
-
Acute lymphoblastic leukemia
- AML:
-
Acute myeloid leukemia
- BCRP:
-
Breast cancer resistance protein
- BTZ:
-
Bortezomib
- CFZ:
-
Carfilzomib
- C-L:
-
Caspase-like
- cP:
-
Constitutive proteasome
- CR:
-
Complete remission
- CT-L:
-
Chymotrypsin-like
- ER:
-
Endoplasmic reticulum
- IGFR:
-
Insulin-like growth factor receptor
- iP:
-
Immunoproteasome
- IRF4:
-
Interferon regulating factor 4
- MDR:
-
Multidrug resistance
- MHC:
-
Major histocompatibility complex
- MM:
-
Multiple myeloma
- MRP:
-
Multidrug resistance-associated protein
- MTT-assay:
-
MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) tetrazolium reduction assay
- Pgp:
-
P-glycoprotein
- SEM:
-
Standard error of the mean
- T-L:
-
Trypsin-like
- TRAF:
-
TNF activating factor
- WT:
-
Wild type
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Cloos, J., Niewerth, D., Jansen, G. (2014). Preclinical Studies on the Molecular Basis of Bortezomib Resistance and Modalities to Overcome Resistance in Hematological Malignancies. In: Dou, Q. (eds) Resistance to Proteasome Inhibitors in Cancer. Resistance to Targeted Anti-Cancer Therapeutics. Springer, Cham. https://doi.org/10.1007/978-3-319-06752-0_7
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